Backend Engineer

MD Integrations

. Design, build, and optimize high-throughput RESTful APIs in PHP using Laravel .

Posted 11/9/2026full-timeRemote • United StatesMid-LevelSenior💰 $105,000 - $140,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in designing and optimizing RESTful APIs using PHP and Laravel, with a strong focus on PostgreSQL database management and cloud deployment in AWS environments. Proficient in CI/CD practices, automated testing, and collaborative development workflows.

Highest-signal resume keywords

PHP DevelopmentLaravel FrameworkPostgreSQL Database ManagementAWS ServicesCI/CD Pipeline Integration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

RESTful API DesignSQL QueriesSchema DesignAutomated TestingDockerGitAgile/ScrumMonitoring ToolsDebuggingTechnical Documentation

Tools & Technologies

AWS CloudWatchRollbarGitHubDocker

Industry Keywords

Clinical WorkflowsHigh-Throughput APIsFeature DevelopmentIntegrationTroubleshooting

Tech Stack

Tools & technologies

AWSCloudDockerLaravelPHPPostgresSQL

About the role

Key responsibilities & impact

Design, build, and optimize high-throughput RESTful APIs in PHP using Laravel
Write efficient PostgreSQL queries and schema designs supporting data-intensive clinical workflows
Contribute to feature development and platform improvements within Agile/Scrum
Build and maintain third-party API and internal service integrations
Deploy and run services in Docker containers across AWS or comparable cloud environments
Write automated unit, integration, and API-level tests for backend functionality and clinical workflows
Integrate tests into Git/GitHub-based CI/CD pipelines
Write and maintain technical documentation for troubleshooting, fixes, API integrations, and support processes
Monitor application health, performance, and error logs using Rollbar and AWS CloudWatch
Identify, document, track, and resolve software defects through log analysis and debugging
Participate in code reviews
Improve development processes, CI/CD pipelines, tooling, monitoring/logging systems, and cloud infrastructure
Formalize internal processes, workflows, troubleshooting playbooks, and knowledge-base content
Collaborate with front-end development, product, QA, and DevOps teams synchronously and asynchronously

Requirements

What you’ll need

5+ years of professional experience with PHP and Laravel framework
Experience working with AWS services like Lambdas, SES, Workers, etc.
Solid knowledge of RESTful APIs, with ability to write automated API tests
Degree in Computer Science, Engineering, or equivalent combination of education and experience
Deep experience with SQL databases, preferably PostgreSQL, including schema design, queries, and performance optimization
Ability to use AI tools to boost productivity but does not rely on it to be able to perform
Experience with Git and collaborative GitHub workflows
Experience with CI/CD pipelines and integrating automated tests into the deployment process
Experience with Docker
Knowledge of monitoring tools such as Rollbar and CloudWatch
Located in the US
Able to work full-time for a US employer without requiring visa sponsorship
Must complete E-Verify work authorization confirmation during onboarding

Benefits

Comp & perks

75% subsidized health insurance
Dental insurance
Vision insurance
Paid time off
401(k) plan with company match
On-the-job training and development opportunities
Fully remote work arrangements
Collaborative and supportive work environment